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Back To School Cool Dump Truck Construction Pun Shirt .besteestores Internal medicine is the What’s more,I will buy this specialty of medical care of the adult patient. IM physicians spend most of their training in the hospital caring for sick patients there, although some programs do offer a focus in outpatient care. IM training typically does not include any gynecology, orthopedics, dermatology, or the like. Internal medicine is the entry pathway for subspecialties like cardiology, gastroenterology, and oncology, all of which require additional training past residency. In years past, many internists also went into primary care medicine, although this is no longer the case. The majority of internists who do not go on to subspecialize are now becoming hospitalists, who care exclusively for patients admitted to the hospital. Family medicine has a different training pathway. The first year of an FM residency is spent rotating through different services in the hospital (medicine, pediatrics, OB) while the second and third years are more focussed on learning outpatient care. I had additional training in things like dermatology and orthopedics. The vast majority of FM graduates go on to work in outpatient primary care offices. FM docs tend to be more likely to offer things like well woman care and skin biopsies than IM docs are. The idea is for an FM doc to be your initial one-stop shop where the majority of your medical needs can be met. Some family docs will do things like deliver babies and assist in surgeries. This is actually quite common in rural or underserved areas. There are plenty of exceptions both ways. There are still primary care internists who are wonderful outpatient docs. I know FM docs who work exclusively in the hospital and do a great job of it. But the patterns above are the trends as of 2018. There is also an alternative pathway where a doctor can specialize in both internal medicine and pediatrics at the same time in a four year training program. My experience with most of these docs is that they tend to go into academics. Note that in the old days, there was something called a general practitioner (GP). These were physicians who did their required one year residency after medical school graduation but did not go on to specialize in anything, but instead went right into practice. Although this is still perfectly legal and you can still get a medical license this way, almost nobody does it. So please don’t call your primary care doctor a GP – we all specialized in something.
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